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Vascular Spasm01:16

Vascular Spasm

The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last for...
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Botulism is a life-threatening neuroparalytic condition caused by botulinum neurotoxin, which is produced by the bacterium Clostridium botulinum, a Gram-positive, spore-forming, obligate anaerobe.In adults, the toxin enters the body in different ways: in foodborne botulism, the preformed toxin is absorbed in the intestine. In wound botulism, spores grow in injured tissue and release the toxin into the blood. Infant botulism differs mechanistically from adult forms. In infants, botulism commonly...
Intestinal Obstruction I: Introduction01:29

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Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
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在sigmoid volvulus中发生多重攻击.

Esra Disci1, Rifat Peksoz2, Enes Agirman3

  • 1Esra Disci, MD. Associate Professor, Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

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概括

多复合性西格体卷积 (SV) 发作很少见,但与明显更高的复发率和死亡率有关. 选择性手术可以考虑在经历多次SV发作的选定患者中,以防止严重的后果.

关键词:
发生多次攻击.多重攻击是多重攻击.锡格莫伊德的卷发性.

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科学领域:

  • 胃肠病学 胃肠病学
  • 外科胃肠道外科手术
  • 结肠直肠手术 结肠直肠手术

背景情况:

  • 西格体卷发症 (SV) 是一种疾病,在这种疾病中,西格体结肠在中腔上扭曲.
  • 复发率显著,影响约四分之一的患者.
  • 多重发作 (三次或更多发作) 非常罕见,但具有更高的风险.

研究的目的:

  • 为了调查多重西格体卷积发作的发生率和特征.
  • 为了比较来自单中心系列的研究结果与关于SV复发和多重攻击的全球数据.
  • 评估与单个,双重和多重SV发作相关的预后和死亡率.

主要方法:

  • 进行了对1071例西格体卷发症病例的回顾性和前性分析.
  • 收集的数据包括患者的人口统计数据,以前的攻击史和结果.
  • 从科学网数据库中获取了关于西格体卷发的全球数据,用于比较分析.

主要成果:

  • 平均SV攻击数量在系列中为1.4,在全球数据中为1.7.
  • 多重 (≥2) 和多重 (≥3) 攻击率在该系列中分别为26.1%和4.2%,而全球为26.7%和3.2%.
  • 随着发病次数的增加,复发率也随着发病次数的增加而增加 (单发病次数为26.1%,双发病次数为19.3%,多发病次数为51.2%) 以及死亡率 (分别为7.3%,13.7%,19.5%).

结论:

  • 多复合性西格卷发作很少发生,但与明显增加的复发率和死亡率有关.
  • 这些发现强调了需要仔细考虑选择性复发性或多重性SV患者的手术干预的必要性.
  • 积极管理,包括选择性手术,对于减轻重复发作和相关并发症的风险至关重要.